WPA Dental Schedule

Schedule of dental fees

This schedule shows the maximum amount we will reimburse for treatment under the Dental Injury and Restorative Treatment following Oral Cancer dental benefits. All claims must be pre-authorised before treatment commences. Please refer to your Guide for terms and conditions and details of what is and isn't covered.

Out of hours attendance fee

Item Item

Reimbursement limit Limit


Out of hours telephone consultation
Up to £40
Registered dentist
Up to £200
Registered dental surgery assistant
Up to £75

General fees

Item Item

Reimbursement limit Limit


Consultations, examination & report
Up to £60
X-ray (small)
Up to £25
X-ray (full mouth)
Up to £55
Prescription antibiotics / painkillers
Up to £30
Sedative dressings - 1st tooth
Up to £45
Sedative dressings - multiple
Up to £75
Intravenous sedation
Up to £140
Abscess drainage
Up to £40
Arrest of haemorrhage
Up to £70
Root canal treatment, opening & dressing : single
Up to £45
Root canal treatment, opening & dressing : multiple
Up to £75
Temporary crown
Up to £55
Temporary bridge
Up to £120

Fillings

Item Item

Reimbursement limit Limit


One filling
Up to £65
Two fillings
Up to £95
Multiple fillings
Up to £125
Pin retention
Up to £25

Root fillings

Item Item

Reimbursement limit Limit


Incisor / canine
Up to £200
Pre-molar
Up to £250
Molar
Up to £300
Apicectomy (root filling)
Up to £165

Extractions

Item Item

Reimbursement limit Limit


One tooth
Up to £55
Multiple
Up to £75
Surgical extraction
Up to £145

Crowns & Bridges

Item Item

Reimbursement limit Limit


Pin retention for crown
Up to £25
Ceramic crown
Up to £370 per unit
Bonded crown - precious metal
Up to £390 per unit
Cast gold crown
Up to £400 per unit
Gold / ceramic inlay
Up to £320 per unit
Bridgework - precious metal
Up to £390 per unit
Re-cement crown / bridge / inlay
Up to £55

Dentures

Item Item

Reimbursement limit Limit


Complete set acrylic resin
Up to £625
Full upper or lower resin
Up to £360
Partial resin
Up to £240
Partial metal
Up to £545
Repairs
Up to £45
Repairs - emergency out of hours
Up to £85

Dental implants

Item Item

Reimbursement limit Limit


Implants and associated restorative treatment
£2,000 per implant

An overall maximum limit may apply on your insurance cover.

NHS Dentist Fees

Item Item

Reimbursement limit Limit


Band 1 : Examination, diagnosis (x-rays), advice, scale and polish
NHS charges as applicable at the point of treatment
Band 2 : Band 1 items plus fillings, root canal work or removal of one or more teeth
NHS charges as applicable at the point of treatment
Band 3 : Band 1 & 2 items plus crowns, dentures and bridges
NHS charges as applicable at the point of treatment
Scotland / Northern Ireland NHS fees
NHS charges as applicable at the point of treatment

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